Systemic lupus erythematosus presenting as an intracranial bleed
โ Scribed by Sandra Cunningham; Edward E Conway Jr
- Publisher
- Elsevier Science
- Year
- 1991
- Tongue
- English
- Weight
- 605 KB
- Volume
- 20
- Category
- Article
- ISSN
- 1097-6760
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โฆ Synopsis
A previously healthy 12-year-old girl presented with fever and mental status changes without focal neurologic deficit. A CBC and computed tomography scan revealed thrombocytopenia and an intracranial bleed. Further laboratory studies were consistent with systemic lupus erythematosus. This case emphasizes the need to maintain a high index of suspicion for atypical presentations of an uncommon childhood illness.
๐ SIMILAR VOLUMES
We recently examined a patient who presented clinically with tender, erythematous papules associated with a febrile illness and polyarthralgias. Histopathological examination revealed extravascular palisaded neutrophilic granulomas, a skin reaction pattern originally described in Churg-Strauss disea